Different relation between hypertension and insomnia: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i13.35418

Keywords:

Hypertension; Insomnia; Heart disease risk factors.

Abstract

Introduction: Insomnia and sleep disorders are conditions that damage notably the individuals. Included in this damage there is, possibly, an increase of the mean blood pressure, which can result in Systemic Arterial Hypertension (SAH). The aim of this review is to identify how some qualitative and quantitative sleep variables could change blood pressure, mainly, of insomne people. Methodology: This is an integrative literature review which includes studies with different population groups over time. The databases utilized to collect the articles were Pubmed, MEDLINE and LILACS and only papers published between 2002 and 2022 have been considered. Results: 12 analyzed articles (75%) corroborate the influence of insomnia on blood pressure. In this regard, short sleep, sleep irregularity, difficulty to start and to keep sleep, low ratio of REM sleep to NREM and alteration of autonomic nervous system in the sleep-wake cycle are factors associated with insomnia that have shown potentiality to promove SAH. Conclusion: Although others physiological and social variables impact on blood pressure, it's also necessary to observe sleep influence on the SAH. This is because, of the totality of the articles included in this review, only 25% do not assure the association between insomnia and hypertension. From these data, it is remarkable that quantitative and qualitative aspects of sleep should be focus of hypertension control measures, once SAH is a chronic disease that represents a risk for several cardiovascular disorders.

References

Abbott, S. M., Weng, J., Reid, K. J., Daviglus, M. L., Gallo, L. C., Loredo, J. S., Nyenhuis, S. M., Ramos, A. R., Shah, N. A., Sotres-Alvarez, D., Patel, S. R., & Zee, P. C. (2019). Sleep Timing, Stability, and BP in the Sueño Ancillary Study of the Hispanic Community Health Study/Study of Latinos. Chest, 155(1), 60–68. https://doi.org/10.1016/j.chest.2018.09.018

Becker, B. K., Johnston, J. G., Young, C. M., Torres Rodriguez, A. A., Jin, C., & Pollock, D. M. (2021). Endothelin B receptors impair baroreflex function and increase blood pressure variability during high salt diet. Autonomic neuroscience : basic & clinical, 232, 102796. https://doi.org/10.1016/j.autneu.2021.102796

Carter, J. R., Grimaldi, D., Fonkoue, I. T., Medalie, L., Mokhlesi, B., & Cauter, E. V. (2018). Assessment of sympathetic neural activity in chronic insomnia: evidence for elevated cardiovascular risk. Sleep, 41(6), 1-9. https://doi.org/10.1093/sleep/zsy048

Castro, M. E. D., Rolim, M. O., & Mauricio, T. F. (2005). Prevenção da hipertensão e sua relação com o estilo de vida de trabalhadores. Acta Paulista de Enfermagem, 18(2), 184-189. https://doi.org/10.1590/S0103-21002005000200011

Duncan, M. J., Holliday, E. G., Oftedal, S., Buman, M., & Brown, W. J. (2021). Joint association of physical activity and sleep difficulties with the incidence of hypertension in mid-age Australian women. Maturitas, 149, 1–7. https://doi.org/10.1016/j.maturitas.2021.04.006

Fernandez-Mendoza, J., Vgontzas, A. N., Liao, D., Shaffer, M. L., Vela-Bueno, A., Basta, M., & Bixler, E. O. (2012). Insomnia with objective short sleep duration and incident hypertension: the Penn State Cohort. Hypertension (Dallas, Tex.: 1979), 60(4), 929–935. https://doi.org/10.1161/HYPERTENSIONAHA.112.193268

Guo, X., Zheng, L., Wang, J., Zhang, X., Zhang, X., Li, J., & Sun, Y. (2013). Epidemiological evidence for the link between sleep duration and high blood pressure: a systematic review and meta-analysis. Sleep medicine, 14(4), 324–332. https://doi.org/10.1016/j.sleep.2012.12.001

Hausler, N., Lisan, Q., Van Sloten, T., Haba-Rubio, J., Perier, M. C., Thomas, F., Danchin, N., Guibout, C., Boutouyrie, P., Heinzer, R., Jouven, X., Marques-Vidal, P., & Empana, J. P. (2019). Cardiovascular health and sleep disturbances in two population-based cohort studies. Heart (British Cardiac Society), 105(19), 1500–1506. https://doi.org/10.1136/heartjnl-2018-314485

Johann, A. F., Hertenstein, E., Kyle, S. D., Baglioni, C., Feige, B., Nissen, C., McGinness, A. J., Riemann, D., & Spiegelhalder, K. (2017). Insomnia with objective short sleep duration is associated with longer duration of insomnia in the Freiburg Insomnia Cohort compared to insomnia with normal sleep duration, but not with hypertension. PloS one, 12(7), e0180339. https://doi.org/10.1371/journal.pone.0180339

Karna, B., Sankari, A., & Tatikonda, G. (2022). Sleep Disorder. StatPearls: StatPearls Publishing.

Levenson, J. C., Rollman, B. L., Ritterband, L. M., Strollo, P. J., Smith, K. J., Yabes, J. G., Moore, C. G., Harvey, A. G., & Buysse, D. J. (2017). Hypertension with unsatisfactory sleep health (HUSH): study protocol for a randomized controlled trial. Trials, 18(1), 256. https://doi.org/10.1186/s13063-017-2001-9

Li, X., Sotres-Alvarez, D., Gallo, L. C., Ramos, A. R., Aviles-Santa, L., Perreira, K. M., Isasi, C. R., Zee, P. C., Savin, K. L., Schneiderman, N., Wassertheil-Smoller, S., Sofer, T., Daviglus, M., & Redline, S. (2021). Associations of Sleep-disordered Breathing and Insomnia with Incident Hypertension and Diabetes. The Hispanic Community Health Study/Study of Latinos. American journal of respiratory and critical care medicine, 203(3), 356–365. https://doi.org/10.1164/rccm.201912-2330OC

Li, Y., Vgontzas, A. N., Fernandez-Mendoza, J., Bixler, E. O., Sun, Y., Zhou, J., Ren, R., Li, T., & Tang, X. (2015). Insomnia with physiological hyperarousal is associated with hypertension. Hypertension (Dallas, Tex. : 1979), 65(3), 644–650.

Li, Y., Yang, Y., Li, Q., Yang, X., Wang, Y., Ku, W. L., & Li, H. (2017). The impact of the improvement of insomnia on blood pressure in hypertensive patients. Journal of sleep research, 26(1), 105–114. https://doi.org/10.1111/jsr.12411

Lunyera, J., Park, Y. M., Ward, J. B., Gaston, S. A., Bhavsar, N. A., Muntner, P., Sandler, D. P., & Jackson, C. L. (2021). A prospective study of multiple sleep dimensions and hypertension risk among white, black and Hispanic/Latina women: findings from the Sister Study. Journal of hypertension, 39(11), 2210–2219. https://doi.org/10.1097/HJH.0000000000002929

Ma, C. C., Gu, J. K., Bhandari, R., Charles, L. E., Violanti, J. M., Fekedulegn, D., & Andrew, M. E. (2020). Associations of objectively measured sleep characteristics and incident hypertension among police officers: The role of obesity. Journal of sleep research, 29(6), e12988. https://doi.org/10.1111/jsr.12988

Malta, D. C., Gonçalves, R., Machado, Í. E., Freitas, M., Azeredo, C., & Szwarcwald, C. L. (2018). Prevalence of arterial hypertension according to different diagnostic criteria, National Health Survey. Prevalência da hipertensão arterial segundo diferentes critérios diagnósticos, Pesquisa Nacional de Saúde. Revista brasileira de epidemiologia = Brazilian journal of epidemiology, 21(1), e180021. https://doi.org/10.1590/1980-549720180021.supl.1

McGrath, E. R., Espie, C. A., Power, A., Murphy, A. W., Newell, J., Kelly, C., Duffy, N., Gunning, P., Gibson, I., Bostock, S., & O'Donnell, M. J. (2017). Sleep to Lower Elevated Blood Pressure: A Randomized Controlled Trial (SLEPT). American journal of hypertension, 30(3), 319–327. https://doi.org/10.1093/ajh/hpw132

Mendes, K. D. S., Silveira, R. C. C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem [online]. 17 (4) p. 758-764.

Moon, C., Hagen, E. W., Johnson, H. M., Brown, R. L., & Peppard, P. E. (2021). Longitudinal sleep characteristics and hypertension status: results from the Wisconsin Sleep Cohort Study. Journal of hypertension, 39(4), 683–691. https://doi.org/10.1097/HJH.0000000000002692

Ramos, A. R., Weng, J., Wallace, D. M., Petrov, M. R., Wohlgemuth, W. K., Sotres-Alvarez, D., Loredo, J. S., Reid, K. J., Zee, P. C., Mossavar-Rahmani, Y., & Patel, S. R. (2018). Sleep Patterns and Hypertension Using Actigraphy in the Hispanic Community Health Study/Study of Latinos. Chest, 153(1), 87–93. https://doi.org/10.1016/j.chest.2017.09.028

Sforza, E., Saint Martin, M., Barthelemy, J. C., & Roche, F. (2014). Association of self-reported sleep and hypertension in non-insomniac elderly subjects. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 10(9), 965–971. https://doi.org/10.5664/jcsm.4026

Ulmer, C. S., Bosworth, H. B., Germain, A., Lindquist, J., Olsen, M., Brancu, M., VA Mid-Atlantic Mental Illness Research Education and Clinical Center Registry Workgroup, & Beckham, J. C. (2015). Associations between sleep difficulties and risk factors for cardiovascular disease in veterans and active duty military personnel of the Iraq and Afghanistan conflicts. Journal of behavioral medicine, 38(3), 544–555. https://doi.org/10.1007/s10865-015-9627-4

Published

06/10/2022

How to Cite

TOLEDO, S. L. .; ANDRADE, J. P. G. .; ALMEIDA, B. C. R. .; GIFFONI BARBOSA, N.; BARBOSA, L. R. .; SILVA TOURINHO, F.; SILVA, G. V. R. da; BOLOGNA, G. T. B.; DUARTE, G. G. de M. .; SOARES, E. A. . Different relation between hypertension and insomnia: an integrative review. Research, Society and Development, [S. l.], v. 11, n. 13, p. e236111335418, 2022. DOI: 10.33448/rsd-v11i13.35418. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/35418. Acesso em: 19 nov. 2024.

Issue

Section

Health Sciences